Local Health Departments

Several sample templates that can be used for case management appear below. There is no requirement to use these templates. Please follow applicable local policies and procedures. For Contact Investigation templates, click here.

DOT Agreement	Notice of Isolation Letter
DOT Agreement- Alternative	Release from Isolation Letter
eDOT Agreement	Discharge Planning Checklist
Loaner Agreement for eDOT

• Cover Sheet: One page that can be used for all referrals
• TB Disease/Possible TB: Two pages summarizing the patient status
• TB Contact: One page summarizing contact demographic information (or exposure setting information) and details about index cases (smear/culture/DST)
• TB Infection: One page for latent TB infection

A companion document is available that walks through how to use the IJN forms.

We are TB - offers support groups in English and Spanish

CDC Translated Patient Materials
MedlinePlus TB/LTBI Translated Patient Materials 
Oregon Health Authority TB/LTBI Translated Patient Materials
Massachusetts Dept. of Health TB/LTBI Translated Patient Materials
Southeastern National TB Center Translated Patient Materials

APHL Guidelines for Submission of Sputum Specimens for TB Testing (pdf)
GTBI Sputum Collection videos - English & Spanish

IDOH PHN Conference TB, CI, & LTBI - Oh My! - June 2023 (pdf)
World TB Day Events

Heartland TB Center Isolation Guidance (pdf)

TB Specimen Submission at IDOH Lab presentation slides (pdf)
IDOH Lab TB (Mycobacteriology) Specimen Submission Guide
IDOH Lab TB  (Mycobacteriology) Isolate Submission Guide
IDOH Lab QuantiFERON-TB Gold Plus QFT-Plus Tube and Single Tube
LimsNet Sample Submission Information

Training
Understanding TB Laboratory Testing for Public Health Nurses
APHL recently released an online course for public health nurses and/or clinicians about TB testing. Topics include quality specimen collection, how to detail the TB testing algorithm or workflow performed in laboratories, how to provide a high-level description of the tests performed within the TB testing algorithm, and any special testing that may be warranted. There is no cost associated with the course.

Heartland Drug-Resistant TB: A Tool for Nurse Case Management (pdf)
Curry TB Center Nursing Guide for Managing Side Effects to Drug-Resistant TB Treatment (pdf)

CDC 2005 Guidelines for Conducting Contact Investigations
GTBI TB Interviewing for Contact Investigation: A Practical Guide Resource for the Healthcare Worker
GTBI Effective Interviewing for TB Contact Investigation 

Contact List and Tracking Tool Template
Letter to Contact-Employee Template
Letter to Contact-Employee Alternative Template

Curry International Tuberculosis Center Directly Observed Therapy Training Curriculum for TB Control Programs
Recommendations for Use of Video Directly Observed Therapy During Tuberculosis Treatment — United States, 2023
Implementing an Electronic Directly Observed Therapy (eDOT) Program: A Toolkit for TB Programs

IDOH TB Disease Treatment and Management Card (pdf) - NEW!
IDOH Latent TB Infection Screening and Treatment Card (pdf)

The CureTB program works to prevent the spread of TB among people who cross international borders. CureTB collaborates with health authorities throughout the United States and around the world to link people with TB to care at their destinations. The IDOH TB Epidemiologists coordinate with Cure TB when necessary.

CDC Process for International Notification of TB Cases
CureTB

General NBS Information and NBS
TB & LTBI NBS Reporting Quick Guides & Workflows

Non-NBS reporting forms

• Report of Tuberculosis
• Report of Latent Tuberculosis Infection
• Monthly TB Follow Up Report
• Tuberculosis Waiver Request